Left Ventricular Thrombus: Contemporary Etiologies, Treatment Strategies, and Outcomes

• Published in: Journal of the American College of Cardiology Vol. 73; no. 15; pp. 2007 - 2009
• Main Authors: McCarthy, Cian P., Murphy, Sean, Venkateswaran, Ramkumar V., Singh, Avinainder, Chang, Leslie L., Joice, Melvin G., Rivero, Jose M., Vaduganathan, Muthiah, Januzzi, James L., Bhatt, Deepak L.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 23.04.2019; Elsevier Limited
• Subjects: Aged; Anticoagulants; Anticoagulants - therapeutic use; Blood clots; Boston; Cardiology; Cohort Studies; Echocardiography, Doppler; Female; Health care; Health care facilities; Heart; Humans; Magnetic Resonance Imaging, Cine - methods; Male; Middle Aged; Myocardial Infarction - complications; Myocardial Infarction - diagnosis; Myocardial Infarction - therapy; Prognosis; Retrospective Studies; Risk Assessment; Survival Analysis; Tertiary Care Centers; Thrombosis; Thrombosis - diagnostic imaging; Thrombosis - etiology; Thrombosis - mortality; Thrombosis - therapy; Treatment Outcome; Veins & arteries; Ventricle; Ventricular Dysfunction, Left - diagnostic imaging; Ventricular Dysfunction, Left - etiology; Ventricular Dysfunction, Left - therapy; Boston; United States > US; Texas
• ISSN: 0735-1097; 1558-3597
• DOI: 10.1016/j.jacc.2019.01.031

[...]the incidence of LV thrombus is relatively low, with only 128 cases diagnosed over a 7-year period at a large tertiary-care hospital. [...]35% with LV thrombus discharged on anticoagulation did not undergo follow-up imaging at our health care facility within 1 year of diagnosis. [...]the most common precipitating factor for LV thrombus in the contemporary era is HF; most LV thrombi are detected early after HF diagnoses on limited background GDMT.